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Multimodality imaging, integrated with comprehensive clinical assessment, electrocardiography, and laboratory testing, plays a central role in the noninvasive evaluation of LVH [Graphical Abstract]. Echocardiography represents the first-line imaging modality for initial assessment and serial follow-up, providing comprehensive structural and functional information. Cardiac magnetic resonance imaging provides diagnostic confirmation and enables etiologic differentiation through advanced tissue characterization. Other imaging modalities, particularly nuclear medicine techniques, are employed in specific clinical contexts such as the evaluation of cardiac amyloidosis.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_119_26","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:00:20Z","timestamp":1788166820000},"page":"488-498","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["How to Do Echo in Left Ventricular Hypertrophy: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging"],"prefix":"10.4103","volume":"36","author":[{"given":"Antonio","family":"De Luca","sequence":"first","affiliation":[{"name":"Cardiothoracovascular Department, Division of Cardiology, Azienda Sanitaria Universitaria Giuliano Isontina and University of Trieste, Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Folgheraiter","sequence":"additional","affiliation":[{"name":"Cardiothoracovascular Department, Division of Cardiology, Azienda Sanitaria Universitaria Giuliano Isontina and University of Trieste, Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Caiffa","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Institute for Maternal and Child Health - 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